| NPI | 1235307190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: PR 813) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 813) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2020-08-07 |